Organization Active NPI

Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
National Provider Identifier
1952308173
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
051300 Issued in CA
Legal business name
EASTERN PLUMAS HEALTH CARE
Practice address
500 1St Ave
Portola, CA 96122-9406
Phone
(530) 832-6500
Fax
(530) 832-1105
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jerilee Nelson, CPA
Title
Cfo
Phone
(530) 832-6577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 051300 CA Primary

Addresses

Primary practice location

500 1St Ave
Portola, CA 96122-9406

Mailing address

500 1St Ave
Portola, CA 96122-9406
Phone (530) 832-6500

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ30845ZOtherCABLUE SHIELD ER PRO FEES

National Provider Directory

National Provider Directory
Tax ID family
Eastern Plumas District12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1952308173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229406",
            "telephone_number": "530-832-6500",
            "fax_number": "530-832-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229406",
            "telephone_number": "530-832-6500",
            "fax_number": "530-832-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PLUMAS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JERILEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-832-6577",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "051300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ER PRO FEES",
            "identifier": "ZZZ30845Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.